BROOK KELLER (NPI# 1215565445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215565445 |
| Entity Type | Individual |
| Full Name | BROOK KELLER |
| Credential | COTAL |
| Practice Address |
8371 Fairlane Dr Apt 5 Birch Run MI 48415-9774 |
| Practice Telephone | 9893237489 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 5202008485 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8371 FAIRLANE DR APT 5 |
| City | BIRCH RUN |
| State | MI |
| Zip Code | 48415-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457902140 | Linda Pabis | Technician | 5406 Canada Rd, Birch Run, MI 48415 | 2019-09-24 |
| 1821649948 | Hope Primary Care of Birch Run Pllc | Clinic/Center | 9143 Birh Run Rd, Ste 3, Birch Run, MI 48415 | 2019-09-20 |
| 1508368903 | John Paul Guidarelli | Physical Therapist | St. Mary's of Michigan, 9900 Birch Run Road, Birch Run, MI 48415 | 2018-03-02 |
| 1730609736 | Krista Lynn Emery | Registered Nurse | 13627 Block Rd, Birch Run, MI 48415 | 2017-06-21 |
| 1548485295 | Timothy D. Keinath | Pharmacist | 8501 Main St., Birch Run, MI 48415 | 2007-04-16 |
| 1790816585 | Donald Hobson | Dentist | 8155 Main Street, Birch Run, MI 48415 | 2007-03-07 |
| 1093801201 | Kenneth Robert Tiller | Chiropractor | 7890 Main, Birch Run, MI 48415 | 2006-10-05 |
| 1275631475 | Paul Charles Danek | Dentist | 9420 E Birch Run Rd, Birch Run, MI 48415 | 2006-09-20 |
| 1538266978 | Ascension St. Mary's Hospital | Family Medicine | 9900 East Birch Run Road, Birch Run, MI 48415 | 2006-09-20 |
| 1003848771 | Carroll Chiropractic Inc | Chiropractor | 11945 Conquest St, Birch Run, MI 48415 | 2006-07-06 |
| Find all providers in zip 48415 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941199 | Juanita Samantha Williams | Occupational Therapy Assistant | 6837 Grandville Ave, Detroit, MI 48228-3984 | 2020-10-30 |
| 1508464785 | Shaun Watson | Occupational Therapy Assistant | 7272 Eastern Ave Se, Grand Rapids, MI 49508-7436 | 2020-10-11 |
| 1285231563 | Jennifer L Herrera | Occupational Therapy Assistant | 10189 Elizabeth Lake Rd, White Lake, MI 48386-2736 | 2020-10-08 |
| 1518564178 | Stephanie Suzanne Jett | Occupational Therapy Assistant | 32295 Farmersville Rd, Farmington Hills, MI 48334-3500 | 2020-10-07 |
| 1801400734 | Domenique Mcmahan | Occupational Therapy Assistant | 3012 Holben Ct, Lake Orion, MI 48360-1671 | 2020-09-08 |
| 1659985513 | Claudia Jeanne Perry | Occupational Therapy Assistant | 3895 Lone Pine Rd Apt 302, West Bloomfield, MI 48323-2939 | 2020-09-08 |
| 1891305363 | Stephanie Lynn Lembach-witmer | Occupational Therapy Assistant | 11378 Autumn Breeze Trl, Clio, MI 48420-1592 | 2020-08-08 |
| 1790311033 | Emily E Coleman | Occupational Therapy Assistant | 4465 Bristolwood Dr, Flint, MI 48507-3722 | 2020-03-18 |
| 1144853789 | Marissa Marie Bennwitz | Occupational Therapy Assistant | E5324 Sunset Rd, Ironwood, MI 49938-9342 | 2020-02-21 |
| 1548891773 | Lisa R White | Occupational Therapy Assistant | 1425 Sheridan Ave, Niles, MI 49120-1949 | 2020-01-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.